Iridoplasty-any takers??

Lid speculum was placed between the lids of the right eye. Two paracentesis tracts were performed and a temple keratotomy was performed. The anterior mechanical vitrectomy was performed to remove the small amounts of remaining vitreous underneath the temple iris. Wound was checked and found to be free of vitreous. Two conjunctival peritomies were performed at the 6 and 12 o'clock meridian. Hemostasis was obtained with bipolar cautery. The first decision was to secure the inferior iris, which was crossing through the pupil to the 6 o'clock sclera and this was done with a double armed 9-0 Prolene suture passed in double arm fashion through the sclera, tied and trimmed and the knot was rotated into the sclera. At that point, two double arm 9-0 Prolene sutures were used to suture and Ophtec posterior chamber intraocular lens model HMK ANI 2 blue of a 19.5 diopter power to the sclera. The intraocular lens was placed. Care was taken to make sure that the sutures were passed in over and over technique so that wounds would not torque. The Prolene sutures were tied, trimmed and the knots were rotated into the sclera. The temple wound was closed with three 10-0 nylon sutures in an X fashion. The conjunctival peritomies were closed with 10-0 nylon sutures. A small amount of diluted Vancomycin was placed in the anterior chamber and the temple 10-0 nylon sutures were rotated into the corneal stroma.

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